Correlates of Seroadaptation Strategies Among Black Men Who have Sex with Men (MSM) in 4 US Cities

Leo Wilton, Beryl Koblin, Vijay Nandi, Guozhen Xu, Carl Latkin, David Seal, Stephen A. Flores, Pilgrim Spikes

Research output: Contribution to journalArticlepeer-review

Abstract

We assessed associations of demographic, psychosocial, and substance use factors with seroadaptation strategies among 835 BMSM in four US cities. Seroadaptation strategies were practiced by 59.8 % of men, with 10.5 % practicing 100 % condom use, 26.5 % serosorting, 7.2 % condom serosorting, and 15.6 % seropositioning. In multivariable analyses, compared to men who used no seroadaptation strategies, serosorters were older, were less likely to be HIV infected, had fewer male sex partners, and had higher levels of social support and sexual self-efficacy. Condom serosorters had less psychological distress, were more likely to use methamphetamine, and had higher levels of sexual self-efficacy. Seropositioners were older, were less likely to be HIV infected, to have a main partner, and report alcohol/drug use with sex, while having higher levels of sexual self-efficacy. Seroadaptation practices among BMSM need to be considered to address perceived safer sex strategies and strengthen access to a broader reach of culturally-relevant prevention efforts.

Original languageEnglish (US)
Pages (from-to)2333-2346
Number of pages14
JournalAIDS and behavior
Volume19
Issue number12
DOIs
StatePublished - Dec 1 2015

Keywords

  • Black MSM
  • Mental health
  • Serosorting
  • Strategic positioning
  • Substance use

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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